Individual
TRISTAN LEROY CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 E BERRY ST, FORT WAYNE, IN 46803-3908
(260) 440-9206
Mailing address
916 E BERRY ST, FORT WAYNE, IN 46803-3908
(260) 440-9206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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